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I once saw a brilliant doctor explain febrile convulsions to a parent. He started with: “It’s about hypothalamic thermoregulation.” Accurate? Yes. The parent nodded politely. 💡 ONE IDEA WELLThe more you know, the harder it is to explain. This is The Curse of Knowledge—a bias where we forget what it’s like not to know something. We assume shared language. Shared logic. Shared leaps. But when we present from that place, we leave people behind.
And the kicker? We believe we’re being clear. In my writing workshop, I use this example: What does ASD mean? To a paediatrician: Autism Spectrum Disorder. Same letters. Entirely different diagnoses. And PE?
We think we’re speaking plainly. The Curse of Knowledge hides in acronyms, assumptions, and slides that begin halfway through a thought process we never say out loud. It’s not about intelligence. 🧰 LESS MESS, MORE MESSAGEHere’s how to break the curse. 🧠 1. Speak to the least informed person in the roomNot the slowest. Just the one without your shorthand. 🔁 2. Use the “10-year-old” testIf you can’t explain it simply, you probably haven’t shaped it fully. 🧭 3. Set the scene before delivering detailInstead of: “The CT showed a PE.” Try: “The CT showed a PE—saddle embolus, obstructing both main pulmonary arteries, and the child was peri-arrest when we got them to CT.” Same diagnosis. Even among clinicians, terms like “PE” or “sepsis” or “floppy” can flatten urgency. 📏 4. Count your acronymsIf your slides look like a Scrabble rack - ECMO, DKA, SIADH, ADHD - it’s a red flag. Spell it out. Especially the first time. Even if it feels obvious. (Especially when it feels obvious.) 📸 A BEFORE/AFTER SHIFTBefore: “The child was described as irritable.” After: “The child was described as irritable -crying inconsolably, arching their back, refusing feeds, and unsettled even when held.” To most people, “irritable” just means cranky or overtired. Same word. Clarity isn’t about sounding clinical. 🧭 ASK YOURSELF THISIf I were hearing this for the first time, what part would trip me up?
That’s your real starting point. Because clarity doesn’t begin when you’re ready to explain.
Same acronym. Different realities. |
One idea a week to help you teach and present with more clarity, confidence, and calm. No fluff. No scripts. Just practical tools that land.
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